August 25, 2020
Pain Management for Cancer Pain
Cancer Pain: What Is It and What Causes It
Cancer brings enough difficulty to handle both physically and emotionally. Unfortunately, one of the side effects of cancer is also pain. 90% of cancer patients also find themselves trying to combat cancer pain in addition to the disease itself. The pain can be dull, achy, sharp, or burning and can range from mild to severe. The cause of cancer pain is often multifactorial. Cancer pain can be caused by the cancer itself, where it is situated, and what stage it’s in. Stage four is much further along and widespread than stage one would be, which could cause more pain. Cancer typically grows into, and destroys, nearby tissues, which can cause pain for patients. In addition, tumors that are a result of cancer can also cause pain. As tumors grow, they can press on nerves, tissue, and bones as well as release chemicals that can cause pain. Cancer treatments such as chemotherapy, radiation, and surgery that typically help treat the cancer itself can unfortunately also cause symptoms of pain.
There are several approaches to treating cancer pain. The first is over-the-counter and prescription non-steroidal anti-inflammatories (NSAIDS). This includes Advil Ibuprofen, Tylenol, Acetaminophen, and Aspirin.These medications are suggested for those with mild to moderate pain.
For those with moderate to severe pain there are two categories of medications that physicians may recommend. Weak opioid medications such as codeine may be given to those whose pain falls in the moderate category. Strong opioids including morphine, hydromorphone, oxycodone, hydrocodone, dilaudid, fentanyl, and methadone may be given to patients with severe pain.
Pain that is caused by swelling will likely be treated with steroids such as prednisone and tingling or burning pain may be treated by two unexpected drugs; antidepressants or an antiepileptic such as gabapentin.
All of these medications come in different forms. Some may be taken orally in pill or liquid form. Others may need to be administered through a rectal suppository, transdermal patch, or as an injection. There are four types of injections patients can receive their medicine through.
- Subcutaneous-medicine is placed just under the skin by use of a small needle
- Intramuscular-injection is placed more deeply into skin or muscle
- Intravenous-medicine is administered through an IV needle
- Epidural-medicine is placed directly into the spine providing relief for several hours
Cancer Pain: Alternative Treatments
For those looking to avoid adding more drugs into their treatment regimen, there are several alternative methods of treatment that patients can turn to. Patients may also choose to pair these treatments with any of the medications mentioned above.
- Biofeedback-a technique that brings patients to a full awareness of bodily processes that are thought to be involuntary such as heart rate or temperature. Patients can influence their level of pain by being conscious of their bodies.
- TENS-formally known as Transcutaneous Electrical Nerve Stimulation, TENS is a mild electrical current that is applied to the skin at the site of pain to provide relief
- Breathing and relaxation exercises
- Applying heat or cold for pain control
- Massage, pressure, and/or vibration-physical stimulation of nerves and muscles can aid in relaxation and help relieve muscle contractions and spasms
- Plant based diet-one study of 77,000 volunteers whose diets were tracked over time showed lower cancer rates in individuals who followed a vegan diet and did not eat meat
If you are currently in the fight against cancer, don’t give up. You are doing an amazing job. If you are experiencing pain don’t be afraid to talk to your doctor about the type of pain you are experiencing and work together to put a treatment plan in place.